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为了鉴别原发性甲状旁腺机能亢进(1°HPT)和非甲状旁腺原因高血钙(NPHC),作者对169例高血钙患者的血清 Cl、P、Cl/P 比值及(Cl-90)/p比值进行了分析和比较。169例中87例为1°HPT,82例为 NPHC。87例1°HPT 中9例为作者医院诊断的病例,其他78例为日本文献报告的病例。82例NPHC 为 VitD 中毒、甲亢、各类肿瘤及结核等疾病所致。结果:血清 Ca 水平:1°HPT 组为10.8～18.0mg/dl(平均12.6)、NPHC 组为10.6～15.8mg/dl(平均11.5),P<0.02。血清 Cl 水平:1°HPT 组为100～120mEq/L(平均108),NPHC 组为81～114
In order to identify primary hyperparathyroidism (1 ° HPT) and non-parathyroid causative hypernatremia (NPHC), we compared the serum Cl, P, Cl / P ratios and (Cl- 90) / p ratio were analyzed and compared. Of the 169 patients, 87 were 1 ° HPT and 82 were NPHC. Nine of the 87 patients with 1 ° HPT were diagnosed at the author’s hospital, and the other 78 were reported in the Japanese literature. 82 cases of NPHC VitD poisoning, hyperthyroidism, all kinds of tumors and tuberculosis and other diseases caused. Results: Serum Ca levels were 10.8 ~ 18.0 mg / dl (average 12.6) in 1 HPT group and 10.6-15.8 mg / dl (average 11.5) in NPHC group, P <0.02. Serum Cl levels: 100-120 mEq / L at 1 ° HPT (mean 108), 81-114